Oken O Fuad, Yildirim A Oznur, Yavuzer Güneş, Gülcek Murat, Unal Vuslat Sema, Uçaner Ahmet, Oken Oznur
Department of Orthopedics and Traumatology, Ankara Numune Training and Research Hospital, Ankara, Turkey.
Eklem Hastalik Cerrahisi. 2010 Aug;21(2):86-90.
In this study gait deviations symmetry and asymmetry in patients with unilateral partial hip arthroplasty was determined.
Gait characteristics and time since operation (11.9+/-6.1; range 7 to 29 months) of 16 patients (9 females, 7 males; mean age 61.5+/-16.5 years; range 27 to 86 years) with unilateral partial hip arthroplasty were evaluated. Ten healthy volunteers (3 females, 7 males; mean age 54.1+/-11.9 years; range 35 to 65 years) were included in the study as control group. Quantitative gait data was collected with the Vicon 370 System (Oxford Metrics, Oxford, UK). Spatio-temporal (walking velocity, cadence, step time, step length, double support time) and kinematic (joint rotation angles of pelvis and hip in sagittal plane) data were processed by using Vicon Clinical Manager software package. Spatio-temporal and kinematic gait symmetry indices of both groups were calculated.
Spatio-temporal and kinematic gait characteristics, but not the symmetry indices, of patients with unilateral partial hip arthroplasty were different from the control group (p>0.05).
Findings of this study reveal that patients with unilateral partial hip arthroplasty had various gait deviations compared to healthy subjects, but that symmetry was preserved.
本研究旨在确定单侧部分髋关节置换术患者的步态偏差、对称性和不对称性。
对16例单侧部分髋关节置换术患者(9例女性,7例男性;平均年龄61.5±16.5岁;范围27至86岁)的步态特征及术后时间(11.9±6.1;范围7至29个月)进行评估。10名健康志愿者(3例女性,7例男性;平均年龄54.1±11.9岁;范围35至65岁)作为对照组纳入研究。使用Vicon 370系统(英国牛津牛津测量公司)收集定量步态数据。时空数据(步行速度、步频、步时、步长、双支撑时间)和运动学数据(矢状面骨盆和髋关节的关节旋转角度)通过Vicon临床管理软件包进行处理。计算两组的时空和运动学步态对称指数。
单侧部分髋关节置换术患者的时空和运动学步态特征与对照组不同,但对称指数无差异(p>0.05)。
本研究结果表明,与健康受试者相比,单侧部分髋关节置换术患者存在各种步态偏差,但对称性得以保留。